Esophageal Foreign Body: A Case Report of a Refractory Croup in a 20-Month-Old Boy

Sevil Nasirmohtaram1, Nooshin Shabani1

  • 1Otorhinolaryngology Research Centre, Gilan University of Medical Sciences, Amir-almomenin Hospital, Rasht, Iran.

Insights

Foreign body ingestion in children, often under age 3, can mimic other conditions. Early diagnosis is key to prevent complications from esophageal foreign bodies.

Area of Science:

  • Pediatric Gastroenterology
  • Otolaryngology

Background:

  • Foreign body ingestion is a frequent pediatric emergency, particularly in children under three years old.
  • Symptoms can be diverse, including dysphagia, drooling, or upper aerodigestive tract issues.

Observation:

  • A 20-month-old boy presented with persistent croup and poor feeding.
  • Diagnostic bronchoscopy and esophagoscopy revealed a loquat fruit core lodged in the esophagus.

Findings:

  • Esophageal foreign bodies can present atypically, mimicking conditions like croup.
  • Delayed diagnosis of esophageal foreign bodies can lead to severe complications.

Implications:

  • Healthcare providers must consider esophageal foreign bodies in the differential diagnosis of pediatric respiratory and feeding problems.
  • Awareness of varied presentations is crucial for timely intervention and improved patient outcomes.
Abstract

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